| NPI | 1124567854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY STOKES Secretary 410-643-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MD MH-2200) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |