| NPI | 1295931830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA YOUNG Administrator 410-778-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD d99941) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2019-02-19 |