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 |