| NPI | 1184261448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY APPELBAUM Client Information Services, Superv 410-843-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |