| NPI | 1790012987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY J CORREA-CASHDOLLAR Practice Manager 410-833-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD MH-113) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2010-02-01 |