| NPI | 1184165904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DACEY Executive Director 301-473-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LCM211) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2022-12-20 |