| NPI | 1417410044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HARE Clinical Director 240-676-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 163WG0000X Registered Nurse, General Practice | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-06-11 |