| NPI | 1669213641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ANN SHAW-WILSON Quality Assurance & Compliance Spec 410-433-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |