| NPI | 1245504638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA TAWES Outpatient Director 410-426-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 14047) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |