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 |