| NPI | 1881853620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE H BRODY Owner 301-987-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 905755) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD LCA400) |
| 1041C0700X Social Worker Clinical (Licence: MD 12360) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2016-01-13 |