| NPI | 1417376609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN DOYLE Director 301-805-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5492) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |