| NPI | 1164392825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS WELLS Licensed Clinical Professional Coun 443-583-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |