| NPI | 1558322198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHALCZYK Developmental Director 410-433-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-04-02 |