| NPI | 1659775484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN BUCHANAN GILMAN Licensed Mental Health Counselor 410-271-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.010282) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2019-09-26 |