| NPI | 1477570059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MOORE Behavioral Health Program Director 301-777-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-04-20 |