| NPI | 1487010021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA CALLAN Owner 443-470-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17923) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-06-25 |