| NPI | 1508275074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SLUTSKY Owner 443-259-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC5864) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |