| NPI | 1336655547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE C ODOM-HARDNETT President/CEO 443-866-2311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |