| NPI | 1033556444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY HENDERSON COO 410-581-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2016-12-14 |