| NPI | 1013440627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL VIRGINIA MORAN Therapist 410-961-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09182) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |