| NPI | 1730322686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA B HERNANDEZ Licensed Psychologist 301-257-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 3982) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |