| NPI | 1346764669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C LIEBERMAN Owner 301-213-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: VA 701006194) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 701006194) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 701006194) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-06-16 |