| NPI | 1124397914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARE Administrator 301-334-7703 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD state agency) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2024-08-20 |