| NPI | 1669847281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSTON HOLCOMB Director / Founder 410-521-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 06263) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2016-03-15 |