| NPI | 1508293317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HENRY Social Worker 301-793-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 14097) |
| Additional Taxonomies | 251S00000X (Licence: MD AC1824) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |