| NPI | 1306376322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEFAWN SPEIGHT Clinical Director/Therapist 301-628-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |