NPI | 1528391463 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRENE JACKSON Operations Manager 443-444-4803 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD D0038957) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2009-09-10 |