| NPI | 1730047010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN NATHANIEL TYLER Executive Director 443-255-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-01-14 |