| NPI | 1841462090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL F HILLEBERT Therapist 240-469-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12722) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA418) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2018-02-07 |