| NPI | 1679848535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI DUBROC Office Manager 410-761-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD D0019454) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |