| NPI | 1750993168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREENWALD Licensed Clinical Social Worker 240-988-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |