| NPI | 1487915427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA DIANN ROYSTER Owner 301-638-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12510) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |