| NPI | 1346410495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MITTELMAN Deputy Director 410-744-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 9305) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |