| NPI | 1144767229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHA ROCHELLE MAYO Owner 443-345-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15284) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |