| NPI | 1033933676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE DAIGLE Administrator 443-624-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-15 |