| NPI | 1578804688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY YOST Director/Lcsw C 410-569-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14784) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |