| NPI | 1700265113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE WEIDEMAN HUTCHINSON Owner 240-606-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC 1225) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC 1225) |
| 101YM0800X Counselor, Mental Health (Licence: DC 1225) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |