| NPI | 1083928022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN P. JONES Co Owner/COO 443-864-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: N/A) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |