| NPI | 1710037759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH S RAGAN Clinical Directo 410-280-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LCA026) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-12-19 |