| NPI | 1588689483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAM PERALES Credentialing Manager 240-691-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-01-08 |