| NPI | 1609587120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE COOKE CEO / Founder 443-629-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |