| NPI | 1770938953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E RAY Director 443-486-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11812) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |