| NPI | 1619757713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LEE REIDY Owner 301-643-8127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |