| NPI | 1598025835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE WILSON Chief Executive Officer 443-226-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1074) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MD MH-1875) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2025-06-24 |