| NPI | 1346687118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LESLIE BRADLEY Administrator 410-562-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 904954) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-12-17 |