| NPI | 1700923158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SIMMONS-ELKINS Counselor 410-893-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1699) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |