| NPI | 1255705331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE SINGLETON Owner 410-320-9967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 905885) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2021-11-16 |