| NPI | 1508065525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NWOKOROKU Director 410-233-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 412445600) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-11-30 |