| NPI | 1316261654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA KEITA D. CARTER Owner/Executive Director 410-530-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LGP3241) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |