| NPI | 1700435914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L TERRY Program Director 410-449-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-10-20 |