| NPI | 1568903870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX IKE OKEKE Director 443-845-0452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |