| NPI | 1477720241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESOLA A OLALEYE Director 410-496-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 407059300) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |