| NPI | 1447407523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA ELDRIDGE Director Owner 410-807-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2017-12-05 |