| NPI | 1376971879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGE COFFEY Clinical Social Worker 301-802-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 09132) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |