| NPI | 1871647487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETER WILSON Owner 301-540-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09724) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |