| NPI | 1417730581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANTOINETTE DIGGINS Vice President/Owner 443-602-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |