| NPI | 1043549611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY R. IRELAND Executive Director 410-924-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 4392) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2025-01-30 |