| NPI | 1851090112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA JOHNSON Social Worker 301-526-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |