NPI | 1952890394 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE DURNFORD Director And Counselor 443-848-3760 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2018-05-01 |