| NPI | 1245421916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LODOTA Chief Operating Officer 410-366-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 17393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-06-18 |