| NPI | 1588049548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KEMP Clinical Director 443-607-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LCA034) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |