| NPI | 1518748920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY HACK Licensed Clinical Prof Counselor 443-274-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |