| NPI | 1184759730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SIZEMORE CFO 410-282-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-02-06 |