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 |