| NPI | 1609995190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN E. CLUTE Director 410-290-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC2051) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |