| NPI | 1215275466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRANJAN JANI Chief Administrator 443-944-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD D0037205) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2016-02-23 |