| NPI | 1235683947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MARIE NKONGOLO Owner/Social Worker 410-487-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19300) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |