| NPI | 1811648561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOLYN ANISE WALKER Mental Health Therapist 301-938-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |