| NPI | 1235814526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDAE CARTER Owner 443-629-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |