| NPI | 1053706218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DRUMGOOLE Owner 443-640-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4145) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-05-08 |