| NPI | 1073828182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR WIGGINS Executive Director 410-433-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC1757) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2021-03-04 |