| NPI | 1619249984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRI LYNN MILLS-RAIKES Social Worker 443-891-4509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 13608) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-10-02 |