NPI | 1558808071 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONICA SCHENAE LOGAN Owner 443-416-5667 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19926) |
Enumeration Date | 2017-01-22 |
Last Update Date | 2017-01-22 |