| NPI | 1205173192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLETO AGUSTUS LINTON Clinical Therapist 443-379-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LCA069) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2014-01-18 |