| NPI | 1114682960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SIMMONS Owner 410-929-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2021-11-07 |