| NPI | 1295932580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NICKOLES President 410-955-6552 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 30-005) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2025-07-21 |