| NPI | 1841793882 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MIRIAM FLAVIA GODFREY Owner 301-412-9740 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20235) | 
| Enumeration Date | 2018-03-15 | 
| Last Update Date | 2024-01-18 |