| 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 | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-05-19 |