| NPI | 1568736007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY TINA KOLENBRANDER Owner 10090 240-416-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10668) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2025-04-22 |