| NPI | 1104758598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SALACH Insurance And Revenue Cycle Analyst 240-253-1757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |