| NPI | 1366052193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATOSHA SPEIGHT Clinical Director 301-683-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |