| NPI | 1558110478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH SUGARMAN Practice Director 301-873-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |