| NPI | 1427256379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE KIANNA MERCER Office Manger 410-265-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2014-02-10 |