| NPI | 1255514295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTE CLAIRE ROBINSON Clinical Director 410-483-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13176) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD lc1577) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |