| NPI | 1033251202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA RUTH DURHAM Owner 410-456-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09934) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |