| NPI | 1417342460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNY MEAGAN ROBINSON Owner/Proprietor 443-499-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC4069) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |