| NPI | 1881197994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BRADLEY Owner/Director 240-461-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4922) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD LC4922) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |