| NPI | 1215582093 |
|---|---|
| Doing Business As | SPACE BETWEEN COUNSELING SERVICE, LLC |
| Doing Business As | SPACE BETWEENCOUNSELING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN MORGAN STORK Founder 443-527-2042 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |