| NPI | 1659016442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA KOUKOULIS Owner/Director 443-457-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106S00000X Behavior Technician | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-11-30 |