| NPI | 1992121552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLICE MOSS-TEAMS Owner 301-455-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC5573) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2015-01-29 |