| NPI | 1326567652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CAMPBELL Clinical Director 410-435-0469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 102061) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |