| NPI | 1770637647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RENEE WILLIAMS President 301-627-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1245) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-06-24 |