| NPI | 1871728030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ROSA BUSTOS President 301-512-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 11362) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD LCA368) |
| 101YP2500X Counselor Professional (Licence: MD LC1437) | |
| 103TC0700X Psychologist Clinical (Licence: MD 903540) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2011-02-03 |