| NPI | 1588309314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLINA FUQUA C.E.O 443-497-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-08-16 |