| NPI | 1457947657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE PETERS-KESSLER Therapist 443-695-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2020-12-12 |