NPI | 1689022790 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN DIGGS Owner 410-698-8442 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LGP6393) |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2016-05-31 |
Last Update Date | 2020-06-17 |