| NPI | 1255753646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEKEA C ANDERSON Clinical Social Worker 301-627-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 13403) |
| Additional Taxonomies | 251S00000X (Licence: DC LC50078339) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |