NPI | 1548709744 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA THOMAS Program Director 410-370-8544 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD AC1434) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2017-02-21 |