| NPI | 1164725891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKEM EGUDIA CEO/Program Director 410-233-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 4793) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2021-05-25 |