| NPI | 1962883660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE KARIS HALL Owner/Provider 301-742-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC5074) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-08-14 |