| NPI | 1992924567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L HOLTZ Executive Director 301-791-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 12342) |
| 1041C0700X Social Worker, Clinical (Licence: MD 12342) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-05-19 |