| NPI | 1174183081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA DENISE JOHNSON Owner/CEO 443-983-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2022-08-18 |