| NPI | 1861806978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA ATLEE Clinical Supervisor 410-288-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11207) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |