| NPI | 1578966883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE BRAMBLE CEO 301-651-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14931) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA388) |
| 101Y00000X Counselor (Licence: MD LC1990) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC1990) | |
| 101YP2500X Counselor, Professional (Licence: MD LC1990) | |
| 103K00000X Behavior Analyst (Licence: MD 14931) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 14931) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 14931) | |
| 104100000X Social Worker (Licence: MD 14931) | |
| 106H00000X Marriage & Family Therapist (Licence: MD 14931) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |