| NPI | 1730531799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA LEE-ANN PACE Counselor I/Ii 443-485-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MD 21849) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |