| NPI | 1144119983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA WHARTON Clinical Therapist 443-614-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2025-11-19 |