| NPI | 1285135558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH M KATZ Owner 410-371-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 10248) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-03-25 |