| NPI | 1780266775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN MELTON-JONES Lcpc 443-567-6219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-09-01 |