| NPI | 1093832180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA JEANNIE DILLINGHAM Executive Director 410-290-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-07-01 |