| NPI | 1689196537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HUBER Director 410-248-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc1475) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |