| NPI | 1659734531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LYNN SMELSER Director 443-262-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 05099) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |