| NPI | 1194403741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT L JONES President/Owner 443-370-9572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YS0200X Counselor School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |