| NPI | 1316167521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KOCHELL Executive Director 410-535-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 9145) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |