| NPI | 1588221238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE G. FERNELIS Owner 443-794-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |