| NPI | 1912336736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C. DAGENHART Owner 240-575-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3464) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2024-02-22 |