| NPI | 1376803346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCCANN Clinical Supervisor 410-288-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13660) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |