NPI | 1548460181 |
---|---|
Entity Type | Organization |
Authorized Contact | CORTINA LEVETTE DARDEN Program Director 410-744-8100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 10075) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2015-01-12 |