| NPI | 1336308501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWAME RICH Director 443-802-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 2818) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-07-05 |