| NPI | 1497166904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D WASHINGTON Owner 410-484-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC5190) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |