| NPI | 1568169902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNADY VINOKUR Manager 301-366-3844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 101YM0800X Counselor Mental Health | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |