| NPI | 1588717722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C ZIMMERMAN Administrator 410-569-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 01971) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2011-10-11 |