| NPI | 1114818812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA ROLES MOBLEY Co Owner 443-208-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-11 |