| NPI | 1235659749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAAL TAYLOR Program Director 410-878-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-09-01 |