| NPI | 1295009397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DAVID KORNBLATT Vice President/Treasurer 301-452-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 03663) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |