NPI | 1013486620 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS LORENZO WINKLER Managing Member 443-333-2970 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-11-14 |
Last Update Date | 2018-11-14 |