| NPI | 1902907447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J TEMPLE President 410-740-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 01696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05994) |
| 1041C0700X Social Worker, Clinical (Licence: MD 06844) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 03612) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 12245) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 05114) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D08491) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0053895) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |