| NPI | 1740785781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD E TALIAFERRO CEO 410-984-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-11-26 |