| NPI | 1487862181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BARKDOLL Coordinator/Managed Care 301-733-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-07-30 |