| NPI | 1750780979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OZIETTA TAYLOR CEO 443-813-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LCA1877) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |