| NPI | 1144997271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LAMB Director Of Administration 410-975-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-09-15 |