| NPI | 1376286856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA ROSLYN WEDDINGTON CEO 443-991-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |