| NPI | 1790291359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WILLIAMS Program Director 443-834-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-21 |