| NPI | 1336686484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIODUN ONABIYI Director 410-258-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2221) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |