NPI | 1992240410 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGETTE L CHASE President, CEO 240-668-8823 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: DC PRC892) |
Additional Taxonomies | 251S00000X (Licence: DC LMFT000124) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2016-12-20 |