| NPI | 1285269993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERISSA BROWN Manager 443-470-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-12-06 |