| NPI | 1437592938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J FOXWORTH Authorized Official 443-562-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD mh62) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2023-06-19 |