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 |