| NPI | 1023200227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL NEWMAN Clinical Director 410-764-7777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LCM132) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |