| NPI | 1033877386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY S VAUGHAN Owner 410-382-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |