| NPI | 1659850360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M GAUTHIER Executive Director 301-672-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |