| NPI | 1689222804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MORRELL Owner/Manager/Sole Practictioner 443-400-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |