| NPI | 1306374509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEMMON President 443-597-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 04619) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |