| NPI | 1922464791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ANDERSON CEO 301-733-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17432) |
| 1041C0700X Social Worker, Clinical (Licence: MD 15063) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 13896) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |