| NPI | 1528680873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FOEHRKOLB Owner 443-794-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2025-11-19 |