| NPI | 1508059569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE S. BLUM President/Director 410-486-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 06471) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-01-10 |