| NPI | 1093129058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNNE KRAFT Managing Member 410-231-2124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1273) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |