| NPI | 1447634498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERRIC HETZER Owner 410-459-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |