| NPI | 1629319736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA TWILLEY BENSON Owner 410-845-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13147) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |