| 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 |