| NPI | 1508159773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY STAR Owner/Therapist 301-202-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7949) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV LPC2309) |
| 252Y00000X Early Intervention Provider Agency (Licence: FL MH7949) | |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2017-11-20 |