| NPI | 1073828182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ANN SHAW-WILSON Qa And Compliance Specialist 410-433-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC1757) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2026-06-15 |