| NPI | 1124374616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA JO BRETT Owner 443-614-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc1964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: MD 10257) | |
| 133V00000X Dietitian, Registered (Licence: MD D02126) | |
| 133V00000X Dietitian, Registered (Licence: MD N00206) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-11-19 |