| NPI | 1275712028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE STEVENSON Owner/Director 410-730-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD 02058) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2009-11-05 |