| NPI | 1215688411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTEANA VICTORIA CARTER Chief Executive Officer 443-802-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |