| NPI | 1033664099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA NICOLE BRYANT Therapist / Clinical Social Worker 410-977-8271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14381) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-09-23 |