| NPI | 1952763666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANA M DAVIS Psychotherapist 301-693-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 15706) |
| Additional Taxonomies | 251S00000X (Licence: DC LC50080356) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-05-30 |