| NPI | 1952593840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ADER O'MEALLY Director 410-751-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05851) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |