| NPI | 1639796527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOWALCZYK Controller 410-910-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-13 |