| NPI | 1285816140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM K HATHAWAY CEO 410-962-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-03-12 |