| NPI | 1245630581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES REYNOLDS MUELLER Managing Owner 443-221-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18592) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2015-08-17 |