| NPI | 1922579622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARIS WATSON GALE Licensed Clinical Social Worker 410-726-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2021-07-22 |