| NPI | 1063044964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYQUITIA RAYFIELD Director Of Operations 410-366-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |