| NPI | 1790045987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANA AMADO Director Of Finances 240-398-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04538) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2026-05-04 |