| NPI | 1972893733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA IRIS BARRON-SHASHO Owner 410-356-0796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08655) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-05-05 |