| 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 |