| NPI | 1265713705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYONA SHANTRICE THOMAS-KELLY Vice President And COO 301-357-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2555) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13986) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2012-03-15 |