| NPI | 1568808012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MITCHELL Administrative Project Manager 301-306-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18189) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |