| NPI | 1790208122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGGHAN THOMPSON Owner (Dba) 301-710-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC5616) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |