| NPI | 1063784403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ROWE Senior Director 410-494-8569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD R2014) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |