| NPI | 1114724226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLI MORMILE CEO/President 443-743-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 167G00000X Licensed Psychiatric Technician | |
| 225400000X Rehabilitation Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |