| NPI | 1386519031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE BURKE Owner/Clinical Director 443-994-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |