| NPI | 1699091595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VITALE GREYNOLDS Therapist 301-943-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC PRC310) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |