| NPI | 1891504908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDA KAVEH Owner/Director 301-919-9753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |