| NPI | 1083449771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA N ALLEN Owner 410-305-9093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |