| NPI | 1225594260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE O Executive Director 410-834-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-04-04 |