| NPI | 1831244136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R STOUTER Director, Therapist 301-416-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-09-11 |