| NPI | 1861139123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANA JOHNSON Owner 443-529-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |