| NPI | 1518155027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURESTA LYNNE KRAUSE President 443-624-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13080) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |