| NPI | 1114469319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B SHEESLEY Psychotherapist 410-245-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC5267) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA2135) |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2016-11-06 |