| NPI | 1275465650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SALACH Insurance And Revenue Cycle Analyst 240-253-1757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |