| NPI | 1518447838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN MCTAGGART Owner/Operator 301-697-4696 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2709) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-07-15 |