| NPI | 1689916173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETE K GATEWOOD Owner 301-996-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC 2244) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |