| NPI | 1023335825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE HARDING Director, CEO 410-467-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 1577) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04369) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0032496) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |