| NPI | 1073008454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME COATES Owner/Therapist 443-783-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |