| NPI | 1700560505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE BARTON Therapist, Owner 443-343-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-07-24 |