| NPI | 1285203984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT JONES CEO 443-570-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |