| NPI | 1942643465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL LEVERT Social Worker 443-366-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 10303) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |