| 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 |