| NPI | 1508432295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL COOPER Chief Financial Officer 410-810-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-10 |