| NPI | 1801454897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RICE Owner/Provider 301-722-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-06 |