| NPI | 1558851931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MCLEAN Counselor 240-472-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7969) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC7969) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC7969) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |