| NPI | 1780122119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY THOMAS WASHINGTON Mental Health Therapist 301-442-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MD LC7028) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |