| NPI | 1407185804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMSON OMOTOSHO Program Director 410-233-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 412569000) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |