| NPI | 1649254996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL BLEACH Director 301-856-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 00848) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC2131) |
| 1041C0700X Social Worker Clinical (Licence: MD 11188) | |
| 1041C0700X Social Worker Clinical (Licence: MD 08795) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: MD D0027555) | |
| 101YP2500X Counselor Professional (Licence: MD LC1380) | |
| 101YP2500X Counselor Professional (Licence: MD LC0357) | |
| 1041C0700X Social Worker Clinical (Licence: MD 03599) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D0037995) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-07-02 |