NPI | 1992924567 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK R LANNON Executive Director 301-791-3045 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 12342) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12342) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |