| NPI | 1447206545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL COOPER Chief Finanicial Officer 410-778-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-08-28 |