| NPI | 1992325633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEV GROTEL Sole Member/Psychotherapist 301-844-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |