| NPI | 1215630934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HEBRON Owner 240-912-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-07-11 |