| NPI | 1053493031 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MIRIAM M LOVE President 410-404-3817  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10061)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001503)  | 
| Enumeration Date | 2006-10-19 | 
| Last Update Date | 2020-08-22 |