| NPI | 1912730458 |
|---|---|
| Doing Business As | REWILD PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | CELESTE KELLY Owner, Clinical Psychologist 240-753-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |