| NPI | 1295167211 |
|---|---|
| Doing Business As | LIVE WELL & THRIVE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DEETTA M ROBERSON CARTER Owner/ Provider 410-701-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17501) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |