| 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 |