| NPI | 1407321326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RICAURTE Director 240-686-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2023-12-05 |