NPI | 1417696683 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGHAN BOWER Owner/Program Director 443-683-0069 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-06-03 |