| NPI | 1609992213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT TENANTY Director 301-774-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD 1355) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 1355) |
| 101YP1600X Counselor Pastoral (Licence: MD 1355) | |
| 101YS0200X Counselor School (Licence: MD 1355) | |
| 1041C0700X Social Worker Clinical (Licence: MD 1355) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |