| NPI | 1629177290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRELL FAITH CAMPBELL Director 301-777-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R067998) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2243) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R063139) | |
| 251S00000X (Licence: MD R067998) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-09-04 |