| NPI | 1114225810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE E MASTRACCO President 443-417-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2273) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |