NPI | 1982032868 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA CARLENE BRYAN Executive Director 410-288-4356 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13660) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4928) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2014-06-24 |