| NPI | 1972660199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARIE HILAND Office Manager 301-753-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0055) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 01939) |
| 103TC0700X Psychologist, Clinical (Licence: MD 03011) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 09564) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 12756) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |