| NPI | 1417227505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SAWYER Director Of Contracts Management 443-904-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-484) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |