| NPI | 1912859752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MCCLAIN Vice President Revenue Cycle 301-315-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-02-12 |