| NPI | 1639624307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD CUNNINGHAM Owner 410-961-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PRC14360) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2021-06-29 |