| NPI | 1356645907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY LAWRENCE Reimbursement Operations, Director 410-554-2894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2011-03-25 |