| NPI | 1992165641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA Z BOWLING Therapist/ Authorized Member 301-752-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC3556) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |