NPI | 1215582093 |
---|---|
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 |