NPI | 1689078057 |
---|---|
Doing Business As | AUDACITY OF HOPE BEHAVIORAL HEALTH LLC |
Entity Type | Organization |
Authorized Contact | RENARDO FOSTER CEO 410-246-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2014-10-14 |
Last Update Date | 2016-10-17 |