| NPI | 1699207993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JOYCE JACOB PEZZANITE Therapist 301-646-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 19151) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |