| NPI | 1972611366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R STOUTER Director, Therapist 301-745-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2020-08-22 |