| NPI | 1780306738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRISSA MERCEDES JACKSON Owner/ Therapist 240-264-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-01-10 |