| NPI | 1811313919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MARIE MARINO COO 240-271-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC 1000770) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |