| NPI | 1457849903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE JACKSON-WOLF Owner/Therapist 443-718-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC5759) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2026-05-07 |