| NPI | 1487046496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON E. THOMPSON Executive Director 410-872-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 00182) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2020-02-12 |