| NPI | 1407198732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVETA E. GIBSON Director 301-609-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13605) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2021-11-23 |