| NPI | 1629788120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE R GARLITZ Director Of Outpatient Services 410-341-3420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2022-11-25 |