| NPI | 1225819055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HAINES Owner 301-697-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |