NPI | 1508114497 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINE GARTLITZ Clinic Director 410-341-3420 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 5169) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2019-09-25 |