NPI | 1942654413 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA GARCI Credentialing Coordinator 410-893-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |