| NPI | 1932653946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA PSENICSKA Licensed Clinical Social Worker 410-652-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |