| NPI | 1033774989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GAMBLE Director 410-398-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2021-08-04 |