| NPI | 1215525852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLYN CLARKE Executive Director 443-929-1928 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-07-16 |