| NPI | 1841370152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANESA LEE MCNALLY Partner 410-602-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 12312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 12888) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-05-22 |