| NPI | 1720091044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES H. DAVIS Hr Director 410-366-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101YM0800X Counselor, Mental Health (Licence: MD 001983) | |
| 103TC1900X Psychologist, Counseling (Licence: MD 001983) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-07-30 |