| NPI | 1154544070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. ANNE RILEY Owner/Provider 301-273-2424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 00761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000139) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-02-04 |