NPI | 1992088801 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN JOSEPH DALTON President 301-622-1714 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 1078) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2023-06-21 |