| NPI | 1790325512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABENA ADOKO SANDO Mental Health Social Worker 443-939-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2025-08-22 |