| NPI | 1356969802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IESHA FAISON Social Worker 410-705-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0000X Psychologist, Family | |
| 175T00000X Peer Specialist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-14 |