| NPI | 1174881213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA H SHOWE Clinical Social Worker 410-428-9187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16559) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |