| NPI | 1144607714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M. EWING Licensed Psychologist/Manager 443-595-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 03441) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2020-03-06 |