| NPI | 1790114056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN PIXTON Chief Executive Officer 410-686-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 4607) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2021-07-27 |