| NPI | 1104931625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCPEAKE Chief Compliance Officer 410-358-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-03-17 |