| NPI | 1376920504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER THORPE Psychologist 443-440-2897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 04803) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |