| NPI | 1194138685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN FOSTER Health Officer 443-786-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 101ya0400x) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |