| NPI | 1275513251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND GOLDFARB Owner Director 301-258-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD MD2123) |
| 103TC0700X Psychologist Clinical (Licence: VA 0810002291) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: MD 4106) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2021-01-21 |