NPI | 1023544285 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL IVY SIMMONS Director Omhc 410-455-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2278) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-10 |