| NPI | 1952470031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GILLIS Chief Financial Officer 301-754-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-07-21 |