| NPI | 1508207481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SIMMONS Director 240-498-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10215) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |