| NPI | 1780363390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM COLLIGAN Principal Owner 301-321-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2026-08-17 |