| NPI | 1427083583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL COOPER Chief Financial Officer 410-778-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: DE 103TP2701X) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |