| NPI | 1912152703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA T BENDER Sole Proprietor 301-718-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 03615) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |