| 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 |