| NPI | 1841621646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HIBBARD Owner 410-245-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 13249) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC4701) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |