| NPI | 1417482100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNNE BRODE Licensed Clinical Prof. Counselor 240-353-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-11-18 |