| NPI | 1740086289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLI MORMILE CEO 443-743-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 225C00000X Rehabilitation Counselor | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |