| NPI | 1518326826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ITAKPE President 443-473-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc3560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC6720) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |