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 |