| NPI | 1003326166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM COOK CEO 410-800-2169 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 4535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3477) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |