| NPI | 1649421835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENERA R MILLER Owner 410-535-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2025-03-03 |