| NPI | 1588079982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI-SHARA FIELDS Administrator 410-919-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17960) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2018-04-24 |