| NPI | 1861906364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY-ANN BOVELL COO 301-358-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 17295) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |