| NPI | 1215237821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONTINA HALL Lcswc/Director 410-225-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 12997) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |