| NPI | 1346620879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HANDLER Owner 443-863-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 13421) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |