| NPI | 1144647561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MOONEYHAN Program Director 301-739-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2018-07-25 |