| NPI | 1114428075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYMEKA DAWAN JONES Owner 443-271-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 17112) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |