| NPI | 1073872842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN ERVIN Director 410-255-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |