| NPI | 1922410109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GINNAVAN Owner 410-973-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-11-18 |