| NPI | 1801598438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GORDON Medical Director 301-922-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |