| NPI | 1407916844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC LEMAR TUCKER President/COO 410-467-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: MD 765320400) |
| Additional Taxonomies | 251S00000X (Licence: MD 400975400) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-01-26 |