| NPI | 1538597976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MILLER Owner/Director 410-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17348) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-02-01 |