| NPI | 1982945655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE WHITAKER Revenue Manager 301-883-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 1223D0001X Dentist, Dental Public Health | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |