| NPI | 1295916443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE E. INYANG Medical Director 301-856-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD D0061308) |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-05-19 |