| NPI | 1124576392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUNJI OYEFUSI President And CEO 443-326-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH - 2099) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |