| NPI | 1366646796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN DENEAU Owner 301-208-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1962) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LC1292) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |