| NPI | 1124101456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOWALCZYK Controller 410-910-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: DE HHAS-035) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: DE HHAS-035) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0100X Psychologist, Health Service (Licence: DE HHAS-035) | |
| 163WH0200X Registered Nurse, Home Health (Licence: DE HHAS-035) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-08-23 |