| NPI | 1508333220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE C ODOM-HARDNETT President/CEO 410-621-5858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |