| NPI | 1609392547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK J HUDAK Preseident/CEO 410-576-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |