| NPI | 1760887459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD BUCKEY Chief Financial Officer 410-922-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 13GR7) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |