| NPI | 1699837526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATANMI OLUSESAN KUFORIJI Program Director 410-233-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2017-12-27 |