NPI | 1225504467 |
---|---|
Entity Type | Organization |
Authorized Contact | DEADRA MONIQUE MARTIN Program Director/Owner 443-500-4887 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-10-15 |
Last Update Date | 2020-10-13 |