| NPI | 1225799547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRETTA DENISE WARREN Clinical Social Worker 240-565-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-01-10 |