| NPI | 1346902491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ANN VISALLI-GOLD CEO 301-718-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |