| NPI | 1902393580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SHAFFER Sole Member 240-401-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1939) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |