NPI | 1588107296 |
---|---|
Entity Type | Organization |
Authorized Contact | LATISHA S CHRISTENSEN Owner 410-670-5889 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MD W17534231) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-11-29 |
Last Update Date | 2024-03-04 |