| NPI | 1548398068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA DOREEN ROGERS Clinical Director 410-869-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07097) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD lc13860) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |