| NPI | 1669825147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PIERCY Independent Contractor 443-473-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP6856) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-27 |