| NPI | 1184471112 |
|---|---|
| Doing Business As | THE MELLOW CLINIC |
| Entity Type | Organization |
| Authorized Contact | LACEY MARIE CAMPBELL Mental Health Counselor 410-971-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |