| NPI | 1467219196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF GORDON President 301-276-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-03-19 |