| NPI | 1396438297 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RUTH DJARBENG Social Worker 443-840-7099  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041S0200X Social Worker, School | |
| 261Q00000X Clinic/Center | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-05-29 | 
| Last Update Date | 2023-05-29 |