NPI | 1700261062 |
---|---|
Entity Type | Organization |
Authorized Contact | RILWAN ODEWALE Office Manager 410-744-4579 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 0340951011893) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2022-11-14 |