| NPI | 1104938539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K SUNDAY Office Manager 301-663-8343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |