| NPI | 1336439413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HUBER Lc1474 410-248-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD lc1474) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |