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 |