| NPI | 1174094593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIESHA RICE Clinical Social Worker/Owner 443-979-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-01-27 |