| NPI | 1427469576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HAUF Office Manager 443-790-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1743) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3624) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |