| NPI | 1457686537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD DAVID BURGESS Mental Health Therapist 443-326-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2419) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-11-02 |