| NPI | 1124470067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RICHARDSON Chief Executive Officer 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-2043) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-03 |