| NPI | 1255562211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON HUMPHREYS Co Owner 443-977-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14665) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |