| NPI | 1871354449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MICHELLE HOLDEN CEO 410-240-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-07-01 |