| NPI | 1649902941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M FORD Owner/Clinical Therapist 301-247-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-09-09 |