| NPI | 1639592215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANA BURNETT Sole Member 410-942-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 15444) |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2014-02-02 |