| NPI | 1184254211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M ENGLISH Owner 443-214-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-03-03 |