| NPI | 1841154739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HEBRON Owner 301-900-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |