| NPI | 1306410196 |
|---|---|
| Doing Business As | KEISHA BROYLES |
| Entity Type | Organization |
| Authorized Contact | KEISHA BROYLES Clinical Therapist 443-267-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |