| NPI | 1811241235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A HUBER Owner/Director 443-850-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD AC0721) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2022-10-18 |