| NPI | 1821002676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARY KESTLER Therapist/C&A Coordinator 443-625-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD 1041C0700X) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-07-02 |