| NPI | 1972984185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY GREEN Clinical Director 240-638-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1887) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2026-04-27 |