| NPI | 1316426562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRAN LEE CEO 443-602-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 225X00000X Occupational Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |