| 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 |