| NPI | 1083142335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA GREEN Therapist/Owner 443-682-7079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2018-06-16 |