| NPI | 1205397049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L WILLIAMS Authorized Official/Director 443-834-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |