| NPI | 1508305426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE SUZANNE COLLINS Proprietor 443-538-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18134) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |