| NPI | 1982742433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOHN OELTJEN President 301-424-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD MD08541) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1153) |
| 103TC0700X Psychologist, Clinical (Licence: MD 04068) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 01189) | |
| 103TC0700X Psychologist, Clinical (Licence: DC Psy964) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 04097) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 08843) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LICSW) | |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2020-08-22 |