| NPI | 1538051198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY PRESTON Chief Program Officer 443-412-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-11-07 |