| NPI | 1528769874 |
|---|---|
| Doing Business As | HEALTH CARE PROVIDER |
| Entity Type | Organization |
| Authorized Contact | BONIFACE A ONAKINOR Therapist 443-514-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-20 |