| NPI | 1730427147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEMOLA OLASIMBO Executive Director 410-701-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 103663) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2023-08-03 |