| NPI | 1386830180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH REED GEHRING Owner 410-254-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 06645) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2025-10-15 |