| NPI | 1245771567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA CHURCHILL Child Therapist 301-624-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15140) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-06-06 |