| NPI | 1033620364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HOVEY Owner 410-294-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2021-07-16 |