| NPI | 1639758337 |
|---|---|
| Doing Business As | WHOLISTIC BEHAVIOR |
| Entity Type | Organization |
| Authorized Contact | NORTHWEST REGISTERED AGENT Re 443-416-5667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-10-19 |