| NPI | 1316186208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO ANDRE LEYVA Psychologist 301-977-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 2003) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |