| NPI | 1851772032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTUS CHADWYCK DICKENS License Clinical Professional Coun 301-257-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6378) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |