| NPI | 1003988627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL COOPER Chief Financial Officer 410-778-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |