| NPI | 1427640705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE ELLRICH Owner 410-292-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |