| NPI | 1518315944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ARCHIBALD Program Director 410-357-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11283) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2783) |
| 101YP2500X Counselor, Professional (Licence: MD LC2342) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-01-29 |