| NPI | 1952429169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE SICKLES GRABOWSKI President 443-340-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA PC010038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2149) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-08-17 |