| NPI | 1154216968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHUNG Licensed Clinical Social Worker 410-267-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |