| NPI | 1023810181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIXON Owner 443-414-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-05-06 |