| NPI | 1811496474 |
|---|---|
| Other Name | FAM |
| Entity Type | Organization |
| Authorized Contact | KELVIN L MITCHELL Owner/Clinical Director 301-821-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15294) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-07-07 |