| NPI | 1174010136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY JANE SPENGLER Owner 443-248-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 09953) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-06-16 |