| NPI | 1568187508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON STENSON CFO 443-295-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-11-20 |