| NPI | 1053589127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PRESTON BOGIA Executive Director 443-735-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |