| NPI | 1376107813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNEALIUS L STAMPS Director 240-863-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |