| NPI | 1427449172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY FLEETWOOD President 410-787-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2020-12-08 |