| NPI | 1841636107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC LEMAR TUCKER President 410-467-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc4081) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |