| NPI | 1740729094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CURTIS HICKMAN CEO 443-488-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC6244) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |