| NPI | 1255116109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALIKH HAYES CFO 443-469-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101200000X |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 102X00000X Poetry Therapist | |
| 171400000X | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-30 |