NPI | 1801005442 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES S MANSUETO Licensed Psychologist And Director 301-593-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 103TB0200X) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2010-01-04 |