| NPI | 1265258461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL LYNN KOTACSKA Therapist/Owner 443-487-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |