| NPI | 1184495954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEE JONES Credentialing Administrator 410-824-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |