NPI | 1679974562 |
---|---|
Entity Type | Organization |
Authorized Contact | VENUS RW STEWART President/CEO 410-764-6965 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4388) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2014-09-10 |