| NPI | 1245574979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON OWOYEMI President/Owner 410-744-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: MD MH-1197) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2022-07-21 |