| NPI | 1477983468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLEEN LOUISE FAULKNER Counselor/Therapist 301-356-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |