| NPI | 1972876282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GARCI Credentialing Coordinator 410-893-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08492) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2015-10-05 |