NPI | 1396367199 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY O. PITTMAN Chief Executive Officer 443-938-8840 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
253Z00000X In Home Supportive Care | |
261QH0100X Clinic/Center Health Service | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2020-05-14 |
Last Update Date | 2021-08-25 |