NPI | 1689710022 |
---|---|
Doing Business As | RONALD D WYNNE PHD |
Entity Type | Organization |
Authorized Contact | RONALD DAVID WYNNE President 301-588-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |