| NPI | 1972874618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE FONROSE Owner/Director 240-533-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3487) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |