NPI | 1194211995 |
---|---|
Entity Type | Organization |
Authorized Contact | LATONIA D STATEN Chief Therapist/CEO 240-599-8060 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8789) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2018-07-03 |