| NPI | 1447555404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKIS JOHNSON C.E.O 443-764-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH - 560) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2023-01-03 |