| NPI | 1205387438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY THOMPSON Owner 410-746-5868 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD LGSW21578) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |