| NPI | 1437762911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE LUERENE ISRAEL Owner 410-513-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |