| NPI | 1518559285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONNELL HAM CEO 240-918-0861 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 251B00000X Case Management | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |