| NPI | 1790354124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAFEEZAH AMINAH MUHAMMAD CEO 410-916-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |