| NPI | 1194854802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E. BERTELL President 410-580-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 03644) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |