| NPI | 1679097364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE D ALLSTON Executive Director 410-467-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD BH000006) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-09-12 |