| NPI | 1770978595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COOKE Executive Director 410-603-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE Q1-0001139) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |