| NPI | 1356931448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY GOULD Licensed Professional Counselor 443-261-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2025-08-06 |