| NPI | 1851844765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVITAL SHAUL Therapist 410-779-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP6460) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-11-16 |