| NPI | 1821247081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLUS CEPHAS Medical Director/COO 301-891-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MD 20502) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 20502) |
| 101YM0800X Counselor, Mental Health (Licence: MD 20502) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MD 20502) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling (Licence: MD 20502) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 20502) | |
| 103TF0000X Psychologist, Family (Licence: MD 20502) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MD 20502) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 20502) | |
| 103TS0200X Psychologist, School (Licence: MD 20502) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 20502) | |
| 106H00000X Marriage & Family Therapist (Licence: MD 20502) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2009-08-20 |