| NPI | 1174927164 |
|---|---|
| Former Legal Business Name | INSPIRING CHANGE MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAQUANNA FOSTER-DOTSON Social Worker/ Owner 410-254-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14879) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 14879) |
| 106H00000X Marriage & Family Therapist (Licence: MD 14879) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 208U00000X Clinical Pharmacology | |
| 251S00000X | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2019-08-13 |