| NPI | 1649721960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M BISCO Clinical Director/Owner 410-428-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10219) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-23 |