| NPI | 1285378844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEVA MORTON Board Certified Behavior Analyst 443-996-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |