| NPI | 1417625708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LEE CEO 443-628-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |