| NPI | 1972758936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANITA L MORRIS Therapist 410-339-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 12124) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |