| NPI | 1841731916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MICHELE KELLY Clinical Social Worker 410-236-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14603) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |