| NPI | 1982195731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HAST Therapist 301-971-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2018-05-27 |