| NPI | 1235682469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN RITA DAVIS Counselor 240-475-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LCPC0785) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-23 |