| NPI | 1194981423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SHERWOOD BARHAM Executive Director 410-992-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0708) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |