| NPI | 1295134005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MCNAIR Clinical Social Worker 301-324-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD 11921) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |