| NPI | 1114458445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAMS Director 443-386-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC5988) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-04-07 |