| NPI | 1912615535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE PIGATT Psychotherapist 443-351-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-06-23 |