NPI | 1982302519 |
---|---|
Entity Type | Organization |
Authorized Contact | TAUEAD BURKE Owner 443-570-3075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
225C00000X Rehabilitation Counselor | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2023-02-22 |
Last Update Date | 2023-02-22 |