| NPI | 1285804666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN E. O'MALLEY Exective Director 251-438-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 008313000) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2023-01-31 |