| NPI | 1356110175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY K HUDAK Owner/Therapist 410-269-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |