| NPI | 1316654460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN HEITHAUS CFO 410-535-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-01-16 |