NPI | 1538597109 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA S SHEQUINE Executive Director/ Owner 410-828-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC5062) |
Enumeration Date | 2013-10-17 |
Last Update Date | 2022-03-28 |