| NPI | 1811820863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLYNN CLARK CEO 443-908-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-08 |