| NPI | 1639544406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA V HILL Licensed Clinical Professional Coun 301-971-4086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD LC5695) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-11-30 |