NPI | 1295909307 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LYNN LYNN Medical Director 301-777-0620 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC1720) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 13631) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2008-04-18 |