| NPI | 1881006294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SALVATORE SPATH Program Sponsor 410-276-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC3785) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |