| NPI | 1528705530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN K Manager 443-367-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-10-06 |