| NPI | 1396423240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADEJAH MCDOUGALD Owner 443-422-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |