| NPI | 1891877874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMAS WOLFE President 410-381-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 3123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11157) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-05-23 |