| NPI | 1124240601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE LAJE Therapist 301-455-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078104) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |