| NPI | 1750940508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE MELISSA WILLIAMS Owner 443-360-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-11 |