| NPI | 1609365097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESNEY BOWEN Owner/President 301-448-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2020-12-03 |