| NPI | 1023791258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GOODWIN Owner 240-608-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-12-28 |