| NPI | 1649086729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAUS KING Owner 410-656-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2026-04-27 |