| NPI | 1912397993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RENEE DUBBS Sole Member 410-549-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15990) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |