| NPI | 1720480163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA ROSIE BEHR Clinical Director 410-532-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |