| NPI | 1104272426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W TABB Owner/ Therapist 410-808-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6686) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC0000480) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-07-25 |