| NPI | 1356599138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA GOTTLIEB Controller 410-358-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |