| NPI | 1558800276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD TALIAFERRO CEO 410-984-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2176) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2023-05-19 |