| NPI | 1740939958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE WEST CEO 301-444-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |