| NPI | 1871464107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLEASE BAGBY-CANNADY Clinical Social Worker 443-739-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |