| NPI | 1710116736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINONA ALICIA NURSE Director/CEO 443-763-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC LC50078684) |
| Additional Taxonomies | 251B00000X Case Management (Licence: DC LC50078684) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2009-07-11 |