| NPI | 1457773160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYRETTA R. JAMES Owner Operator/Clinical Director 410-987-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04935) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 07685) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2016-04-27 |