| NPI | 1124492665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A DEPETRO Managing Director 410-747-9743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09177) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01507) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-10-23 |