| NPI | 1518286566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LYN HANCOCK Exec. Vice President 410-842-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004671) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701004671) |
| 101YP2500X Counselor, Professional (Licence: VA 0701004671) | |
| 101YS0200X Counselor, School (Licence: VA 0701004671) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |