| NPI | 1710303573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DALE GRANTLAND Owner 301-866-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4189) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2024-02-02 |