| NPI | 1093067654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYALA KATZ Director 410-493-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 163W00000X Registered Nurse | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2019-12-02 |