| NPI | 1235640285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGIS ALLEN AGUGLIA Therapist 410-709-8894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 16003) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-02-10 |