| NPI | 1265952998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA THOMAS Operations Manager 301-501-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05746) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 12014) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |