| NPI | 1245377894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RYAN Office Manager 410-893-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-03-08 |