| NPI | 1487035911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ROBINSON Owner/Organizer 301-455-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8967) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21143) |
| 101Y00000X Counselor (Licence: NC 333976) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |