| NPI | 1063263374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH BRADEN-MACMULLAN Owner 410-507-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |