NPI | 1568174126 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE LIVELY COO 443-631-3303 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2022-12-14 |
Last Update Date | 2023-02-10 |