| NPI | 1144602798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ZINNA Psychologist 240-447-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 03888) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |