| NPI | 1356536072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DAWN NORRIS Lcpc 301-724-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD LC1915) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2014-04-22 |