| NPI | 1447606249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA LORETTA CAMPBELL President 443-904-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC5896) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-03-14 |