| NPI | 1770950313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM E PANAMENO-GRANADENO Licensed Social Worker 301-832-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MD 20288) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |