| NPI | 1871484741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN F MILES Licensed Psychotherapist 301-821-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |