NPI | 1902375090 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE GRANRUTH Owner 410-534-8735 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |