| NPI | 1841705407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS RICKS Founder/Owner 443-983-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 251S00000X | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2021-10-27 |