| NPI | 1104782390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER DODD Owner 443-885-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2025-12-31 |