| NPI | 1144952870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA HAYES Owner 443-345-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-09-26 |