| NPI | 1043623465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L GRANRUTH Owner/Executive Director 410-534-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2015-03-10 |