| NPI | 1508162082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE J WINDER Owner/Lcpc 443-621-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC3734) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |