| NPI | 1649601139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET GLOVER-KERKVLIET Owner 410-627-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4447) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |