| 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 |