| NPI | 1689847311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A KANE Office Manager 410-552-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC0931) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |