| NPI | 1942678636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KATHRYN CROWLEY Family Worker 301-697-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD 21113) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |