| NPI | 1922786490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI IMPEDUGLIA Owner 301-681-7101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |