| NPI | 1124372271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LARMORE Office Manager 410-666-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12496) |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2012-10-27 |