| NPI | 1780130849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GALLAGHER Credentialing COO Rdinator 410-893-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 104100000X Social Worker | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |