| NPI | 1558695338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISAMARIE EUSTICE Clinician/Business Co Owner 301-802-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13843) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2012-10-18 |