| NPI | 1316206295 |
|---|---|
| Doing Business As | VILLA MARIA BEHAVIROAL HEALTH AT MILLER'S COURT OMHC |
| Entity Type | Organization |
| Authorized Contact | ROBERT CANOSA Director 410-252-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-09-10 |