| NPI | 1568104008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDELLE JOHNSON-PUGH Licensed Clinical Social Worker 443-880-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |