| NPI | 1245782341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY ALLEN SMITH Program Director/Owner 443-678-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 251S00000X) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2017-04-27 |