| NPI | 1578748737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SUSAN DURRUTHY Owner 410-992-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD D36443) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |