| NPI | 1801381942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA SUE FULD Clinical Director 410-870-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20269) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-05-12 |