| NPI | 1053748996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY M FISCHBEIN Clinical Social Worker 443-212-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09947) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |