| NPI | 1295246718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA ELDRIDE Regional Director 410-807-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-16 |