| NPI | 1164913158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEMOLA OLASIMBO Executive Director 410-701-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD BH000601) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-25 |