| NPI | 1073980827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARENEQUE BARTHOLOMEW Executive Director 410-483-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 15330) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |