| NPI | 1114414125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN M SYLVESTER Owner 410-707-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC3728) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |