| NPI | 1306130117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDA S BROOKS Social Worker Ii/Team Leader 410-422-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16439) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |