| NPI | 1538578034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JEAN KNIERIEM Therapist 240-362-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 18167) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-11-12 |