| NPI | 1578995593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHUN J HARRIS Owner/ Provider 410-903-3178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC3404) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |