| NPI | 1790329688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NDAMBUKI Director 301-538-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |