| NPI | 1013469972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK J HUDAK President/Owner 410-576-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1587) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |