| NPI | 1568736007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY TINA MOBIN Owner 10090 410-431-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10668) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2018-12-06 |