| NPI | 1710171814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY EDELSTEIN Director/Owner 301-656-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |