| NPI | 1790504165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELITA ANANE CEO 443-386-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |