| NPI | 1306109343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ARCHIBALD CEO 410-357-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11283) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2342) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2024-01-23 |