| NPI | 1942650692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR SAMUEL DOUGLAS Owner 240-354-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18143) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-07-08 |