| NPI | 1235355298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MARIE KEMPER Owner 443-394-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 13599) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |