| NPI | 1639790801 |
|---|---|
| Doing Business As | SOLE PURPOSE |
| Entity Type | Organization |
| Authorized Contact | JAMAL SCOTT Owner 410-878-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |