| NPI | 1639591977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH SHIVERY Owner/Therapist 410-622-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 16915) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |