| NPI | 1295076958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAYNE Clinical Director 443-602-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 12953) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |