| NPI | 1558800649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA DOHERTY Owner 240-291-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LCPC4218) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |