| NPI | 1841992567 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CIERRA SIMPSON Therapist 443-418-8557 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2023-03-17 | 
| Last Update Date | 2025-03-19 |