| NPI | 1578080313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GLICK Executive Director 410-446-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 04387) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |