| NPI | 1164817268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESE NICOLE HAYES Lcsw C 301-972-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5475) |
| 101YP2500X Counselor, Professional (Licence: MD LC4015) | |
| 101YP2500X Counselor, Professional (Licence: MD LC4709) | |
| 101YP2500X Counselor, Professional (Licence: MD LC4819) | |
| 133V00000X Dietitian, Registered (Licence: MD DX3109) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2026-01-27 |