| NPI | 1174708382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE MICHELLE BROWN-BUSHROD Owner 410-484-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09133) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |