| NPI | 1649523937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN E. WILSON Case Manager 410-887-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD G13164) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |