| NPI | 1306116231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDOLPH WINSLOW Program Director 410-228-7714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD 13090) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |