| NPI | 1316439953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NANCE CEO 410-845-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD BH000885) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-12-20 |