NPI | 1538644943 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFORD W LAWS Chief Executive Officer 410-578-8003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-10-02 |
Last Update Date | 2018-10-02 |