| NPI | 1205290871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMITA JHA Owner 301-468-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MD MD46680) | |
| 104100000X Social Worker | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |