| NPI | 1447682745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA MARIA JOHNSON Owner 410-982-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 2133) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2016-12-20 |