| NPI | 1376043067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FRITZ Program Director 443-291-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2019-10-28 |