| NPI | 1518982503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CABBAGESTALK Executive Operational Director 301-731-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD LC1624) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD LC1624) |
| 103TC1900X Psychologist, Counseling (Licence: MD LC1624) | |
| 103TF0000X Psychologist, Family (Licence: MD LC1624) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-08-26 |