| NPI | 1972114403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ETHEL RACHUBA Medical Staff Services Director 410-402-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |