NPI | 1437789492 |
---|---|
Entity Type | Organization |
Authorized Contact | LORA WOLZ Owner 301-325-6196 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-01-17 |
Last Update Date | 2020-01-17 |