| NPI | 1902250582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANNA SEIDE Psychotherapist 240-360-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC5727) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |