| NPI | 1124820436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOWALCZYK Executive Director Of Finance 410-910-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |