NPI | 1942868708 |
---|---|
Entity Type | Organization |
Authorized Contact | JANAYA LATRICE STANLEY Clinical Supervisor 410-235-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-06-05 |
Last Update Date | 2021-08-19 |