NPI | 1649646761 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER DAVIS Executive Director 410-933-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
Enumeration Date | 2015-08-12 |
Last Update Date | 2015-08-12 |