| NPI | 1659883197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ROBERT CHRISTIANSEN Medical Director 240-304-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0059971) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2023-05-30 |