| NPI | 1558969451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE CARR CEO Therapist 443-600-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-16 |