| NPI | 1417720129 |
|---|---|
| Doing Business As | JHU - MARRIAGE & FAMILY THERAPIST |
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L KEATING Director Provider Enrollment 410-933-6430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |