| NPI | 1740984137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYISHA JONES KEITH Clinical Social Worker 240-741-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |