| NPI | 1700316825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LUCILLE THOMPSON Executive Director 410-225-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 303) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |