NPI | 1346574282 |
---|---|
Entity Type | Organization |
Authorized Contact | TERI TALLENT BURNS Owner/Director 301-498-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1667) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA1542) |
Enumeration Date | 2009-09-24 |
Last Update Date | 2009-09-24 |