| NPI | 1225467251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM BHAYANI Chief Administrator 442-245-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD D0037205) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2025-09-02 |