| NPI | 1801334727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA LIPPINCOTT Owner 443-827-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3370) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |