NPI | 1194165647 |
---|---|
Other Name | YOUTH REACHING OUT |
Entity Type | Organization |
Authorized Contact | OZIETTA DARTANIEL TAYLOR Therapist 443-813-5677 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MD LC1045) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2013-06-28 |