| NPI | 1518505544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART MAYNARD Ph.D. Cns 301-656-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |