| NPI | 1518406321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN PONTON Director, Patient Accounts 301-816-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2022-07-21 |