| NPI | 1396080594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTONIO SIMON Owner / Program Director 443-983-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-01-03 |