| NPI | 1215067715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. NOLET President 410-583-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 3990) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 3990) | |
| 103T00000X Psychologist (Licence: MD 3990) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MD 3990) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 721) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |