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 |