| NPI | 1689522740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNET F MOFOR CEO 443-622-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-03-16 |