NPI | 1649549411 |
---|---|
Entity Type | Organization |
Authorized Contact | C. ANTHONY MAYO CEO 301-699-0344 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: MD 001685) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MD 001685) |
Enumeration Date | 2011-12-22 |
Last Update Date | 2011-12-22 |