| NPI | 1346546249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MERRICK Program Director 410-383-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD SC1428) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |