| NPI | 1780221622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN ADKINS Compliance Coordinator 410-758-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |