| NPI | 1720703481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDINE BURGESS Exec Admin 240-350-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-02-12 |