| NPI | 1548429277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STEFANO Business Manager 301-320-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 3166) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |