| NPI | 1861175911 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MORGAN RIAN WIDERMAN Founder & Primary Clinician 443-302-9716  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2023-08-07 | 
| Last Update Date | 2023-08-07 |