NPI | 1700569779 |
---|---|
Entity Type | Organization |
Authorized Contact | TAHMINEH ANN SHADKHOO Licensed Professional Counselor 443-745-2363 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |