| NPI | 1578953493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TSAKOUNIS Executive Director/Owner 301-370-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4577) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP5338) |
| 101YP2500X Counselor, Professional (Licence: MD LGP5938) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 05452) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |