| NPI | 1356128672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HUNTER Finance Officer 301-213-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TA0700X Psychologist Adult Development & Aging | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| 225C00000X Rehabilitation Counselor | |
| 364SG0600X Clinical Nurse Specialist Gerontology | |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |