| NPI | 1497996441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA LYNN MATTHEWS-BERRY Director 301-577-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2015-12-11 |