| NPI | 1639605900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MCNEIL Executive Director 443-996-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 2117) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-08 |