| NPI | 1679931273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANNE IRVIN President, Clinical Director 301-254-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12403) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |