| NPI | 1255850129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN KOEPP Sole Member 301-514-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17036) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-13 |