| NPI | 1164689576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA S SHEQUINE Owner 410-433-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1004) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-04-01 |