| NPI | 1134631054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA DAWN TRENT Owner 443-945-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-11-30 |