| NPI | 1659484400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY A BRANDT Director 410-938-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-09-11 |