| NPI | 1114114071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BITTINGER Business Operations Manager 410-628-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2014-12-03 |