| NPI | 1457559395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE TERRENCE MARSHALL President 301-648-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc2141) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-11-01 |