| NPI | 1548745573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AMI COLLINS Owner/Therapist 410-541-6354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |