| NPI | 1619521333 |
|---|---|
| Other Name | KELLY VAHEY, LCSW-C |
| Entity Type | Organization |
| Authorized Contact | KELLY VAHEY Provider 410-494-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |