| NPI | 1104207836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIFA S JEFFREY-RIGGINS Provider/ Owner 443-845-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |