| NPI | 1982906186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BRENNER Owner/ Therapist 410-228-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 14584) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-12-01 |