| NPI | 1205427937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI TYNETA JOHNSON Social Worker Lcsw C 410-804-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-03-06 |