| NPI | 1851630586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN N HERRON Clinical Social Worker 410-227-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15851) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |