| NPI | 1164639209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CASSELL Program Director 410-822-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-09-28 |