| NPI | 1518577170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE WESLEY Marriage And Family Therapist 443-418-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |