| NPI | 1124565155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BUCKNER Chief Executive Officer/Owner 443-509-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |