| NPI | 1215461397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI ANN CARTER Licensed Clinical Counselor 443-771-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3058) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |