| NPI | 1114466406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA MELANIA O'HATNICK Principal 410-656-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3719) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |